@layout("/common/_form.html",{js:["/assets/enterpriseWaterMeterRepairInfo/enterpriseWaterMeterRepairInfo_add.js"]}){

<form class="layui-form" id="enterpriseWaterMeterRepairInfoForm" lay-filter="enterpriseWaterMeterRepairInfoForm">
    <div class="layui-fluid" style="padding-bottom: 75px;">
        <div class="layui-card">
            <div class="layui-card-header">基本信息</div>
            <div class="layui-card-body">
                <div class="layui-form-item layui-row">
                    <input name="id" type="hidden"/>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">联合报装编号<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="jointPackingNo" name="jointPackingNo" placeholder="请输入联合报装编号" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">申请单位<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="applicant" name="applicant" placeholder="请输入申请单位" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">社会统一信用代码<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="creditCode" name="creditCode" placeholder="请输入社会统一信用代码" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">法定代表人姓名<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="name" name="name" placeholder="请输入法定代表人姓名" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">法定代表人身份证号<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="idNo" name="idNo" placeholder="请输入法定代表人身份证号" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">经办人姓名<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="handlerName" name="handlerName" placeholder="请输入经办人姓名" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">经办人身份证号<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="handlerIdNo" name="handlerIdNo" placeholder="请输入经办人身份证号" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">经办人联系方式<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="handlerPhone" name="handlerPhone" placeholder="请输入经办人联系方式" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">申请地址<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="applicationAddress" name="applicationAddress" placeholder="请输入申请地址" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">总建筑面积<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="overallFloorage" name="overallFloorage" placeholder="请输入总建筑面积" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">申请联合报装内容<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="applicationContent" name="applicationContent" placeholder="请输入申请联合报装内容" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">开票名称<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="billingName" name="billingName" placeholder="请输入开票名称" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">纳税人识别号<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="tin" name="tin" placeholder="请输入纳税人识别号" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">开户银行<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="depositBank" name="depositBank" placeholder="请输入开户银行" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">处理进度<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <!--                            <input id="tag" name="tag" placeholder="请输入处理进度" type="text" class="layui-input" lay-verify="required" required/>-->
                            <select id="tag"  name="tag" placeholder="请选择处理进度">
                                <option value="">审核状态</option>
                                <option value="未处理">未处理</option>
                                <option value="处理中">处理中</option>
                                <option value="已处理">已处理</option>
                            </select>
                        </div>
                    </div>
<!--                    <div class="layui-inline layui-col-md12">-->
<!--                        <label class="layui-form-label">创建时间<span style="color: red;">*</span></label>-->
<!--                        <div class="layui-input-block">-->
<!--                            <input id="createTime" name="createTime" placeholder="请输入创建时间" type="text" class="layui-input" lay-verify="required" required/>-->
<!--                        </div>-->
<!--                    </div>-->
<!--                    <div class="layui-inline layui-col-md12">-->
<!--                        <label class="layui-form-label">创建人<span style="color: red;">*</span></label>-->
<!--                        <div class="layui-input-block">-->
<!--                            <input id="createUser" name="createUser" placeholder="请输入创建人" type="text" class="layui-input" lay-verify="required" required/>-->
<!--                        </div>-->
<!--                    </div>-->
<!--                    <div class="layui-inline layui-col-md12">-->
<!--                        <label class="layui-form-label">更新时间<span style="color: red;">*</span></label>-->
<!--                        <div class="layui-input-block">-->
<!--                            <input id="updateTime" name="updateTime" placeholder="请输入更新时间" type="text" class="layui-input" lay-verify="required" required/>-->
<!--                        </div>-->
<!--                    </div>-->
<!--                    <div class="layui-inline layui-col-md12">-->
<!--                        <label class="layui-form-label">更新人<span style="color: red;">*</span></label>-->
<!--                        <div class="layui-input-block">-->
<!--                            <input id="updateUser" name="updateUser" placeholder="请输入更新人" type="text" class="layui-input" lay-verify="required" required/>-->
<!--                        </div>-->
<!--                    </div>-->
                </div>
            </div>
        </div>
    </div>
    <div class="form-group-bottom text-center">
        <button class="layui-btn" lay-filter="btnSubmit" lay-submit>&emsp;提交&emsp;</button>
        <button type="reset" class="layui-btn layui-btn-primary" ew-event="closeDialog">&emsp;取消&emsp;</button>
    </div>

</form>

@}